What's up guys this is dr. O from innovative dental and today
I want to talk to you about why you should not get crowns on your front teeth
Chances are if you've gone to your dentist or have been concerned about having your your
front teeth addressed from tooth decay or
Even just not pleased to the way that they look you may have been advised to get crowns done on your front teeth
There's there's some reasons why I would encourage a patient not to go down that route most of the time we can avoid that first
They're too aggressive so
when you are cutting on a tooth to prepare it for a crown you have to remove almost all of the enamel and
this leaves the tooth more susceptible to
Fracture more septal to break it also would make the tooth
Likely to have more
Sensitivity and maybe even need a root canal in the future so when you crown a tooth and you cut all the enamel away
It's definitely more likely to be a problem down the road and you might ask yourself
So why in the world do we have to cut all the way around the tooth and?
one of the reasons that we do that is for decades
we've not really had another solution to
Making the tooth have some sort of temporary why the lab makes your crown
And so we have to put a temporary
plastic tooth on top of your existing
prep on them basically the tooth that we just cut down and
that plastic tooth has to have some sort of shape to hold on to and so that's why we were taught in dental school to
Cut around the tooth to prepare it in a way
That would hold the temporary so we're really treating the tooth based off of our
Necessity to put a temporary on it now fast forward right the technologies
Come a long way, and now we can actually make the crown while in one visit while you are here
And we don't require a lab to make the the restoration anymore
So since we don't need a lab you can imagine
we don't have to have a temporary and since we don't need a
Temporary we don't have to shape the tooth the same way
There's a lot of benefits to you for that because that means we only have to treat the portion of the tooth that gives you
the cosmetic benefit of
changing the shade and the shape of the tooth and
Be getting rid of the decay that's there and so most of the time we can do both of those things with something
That's much less
Aggressive crowns are just too aggressive almost always so if your dentist is recommended at crown
I would encourage you to maybe ask them
Why they feel they feel they need a crown, and if it really comes down to the fact that that you need a temporary
Or they need to send it off to a lab, then I'd be I can be concerned with that
You got to seek out a dentist that has technology because it's been around for a while that allows us to
Fix the tooth in one visit and save more of your tooth structure avoid all those challenges and problems that are listed earlier about
You know tooth pain less your tooth around I mean
I think about if you're like a 35 year old and you're getting your tooth cut on to put a crown on it that crown
Maybe lasts you 20 years, but in 20 years you're gonna need another crown and when they cut that old one off
There's gonna be even less tooth structure there so each time you're getting this tooth treatment
You're more likely to have it break hurt and have problems for you down the road so just avoid crowns if you can almost
Never need it in dental school
We were taught how to prepare teeth for crowns and not for veneers so you're gonna most of the time run into
Dentists that are really trained on crown prep and maybe not on veneer proud and so crowns you're going to basically take the burr
Reduce the tooth about a millimeter on top and cut all the way around
Essentially removing all of your enamel now if the tooth is badly damaged then
Then maybe this is necessary
But the only area that really necessitates or requires us to be that aggressive and remove the enamel all the way around the tooth
Would be if you had tooth decay on the backside of the tooth, and I was going to show that to you there
I'm a fucking focus
So on this model here you can see I'm showing you the backside of teeth very rarely
Do you get any sort of decay right where my finger is in this backside of the tooth and?
This is the area that
Is really important to maintain your natural tooth structure?
Here's why it's so important
So if you look where my fingers are at?
You can see all of this this portion of the back of the side of the front teeth
And I take this other model, which is the lower jaw and I put it together?
One thing you'll notice is where'd you chew right it's kind of hard to see maybe on this model
But there it is you chew right up against the backside of
Those those front teeth and so when you start grinding away
to do a traditional crown on the backside of these front teeth you're going to change that surface now to
be something that is going to be a
restoration that is chewing against your lower teeth that are natural and
That that sounds okay except for the fact that long term this causes your lower teeth to get more wear
And it's also likely to have
wear on the backside of your restoration or
Chipping or breaking there to the crown over time because the way that the bite connects, so hopefully that makes sense
But that's that's one reason that's really the second reason why I would avoid crowns is that it changes the bite surface of
Your natural teeth to a prosthetic and it's really not in an area that that's not super beneficial for you
Maybe even a third reason why you might want to avoid?
having a crown done on a front tooth is
You've heard of you know the reason we would typically do a crown is to make it stronger
Help hold a tooth together. That's had a lot of decay or old restorations, and we would put the crown on top
And we put it on top and you have chewing forces like this
It's going the Crown's gonna actually be giving that tooth
Additional strength the fact that that tooth doesn't have the enamel there anymore is not too damaging considering the forces this way
Now if you take a front tooth
So you have a tooth in front where you?
Your forces really are more of this this type of chewing forces where you go like that and you have a little bit of
lateral forces on the front teeth
Those lateral forces on teeth that you've taken all the enamel away are not very healthy and so I've seen a lot of
Patients who have had crowns on front teeth and their teeth are severely weakened
And they will have the tooth break
and I'm wondering if they wouldn't have broken if we would have been more conservative and
Kept the enamel on the backside of their front teeth alright, so hopefully I made it clear why I'm apparently done
Just go hang out
It's my dog Baxter you can't see me over there in the corner
Alright, so hopefully I've made the case for
What are some of the risks or challenges and maybe why you shouldn't have a crown
Done on on your front teeth so then the question is well. I've got some problems. I've got some tooth decay
I've got a fracture - yeah, you know cool
I'm glad you made me understand why I don't need a crown, but what am I supposed to do?
I believe that most dentists that are really are providing the most conservative care are going to be comfortable doing
3/4 crowns or partial crowns that don't cut down the backside of the the tooth and
They will also be able to do veneers and veneers are just maybe similar to a 3/4 crown
Maybe even a little more conservative than that in their prep. These are great ways to
Avoid long term challenges or problems with your teeth
So I would encourage you to go to a dentist who has the ability to create same-day
restorations that'll be a big benefit to you and
Go to a dentist who understands how to prepare teeth for veneers and doesn't require or recommend
Crowns when the backside of the tooth is healthy the the topic of this video came up from just just this last week I had
patient come in and
Had some concerns with their smile and wanted to improve it and they came to me and they were fairly young and they were
Recommended to have I believe it was like 20 crowns performed and prepped on their teeth and they were very young
Obviously it's a big concern to me
I advise the patient definitely don't do that go to a dentist that is going to be able to prepare the teeth
much more minimally so you have the best chance of having long-term health there and
Here at innovative dental we pride ourselves on that so hopefully this video is helpful. I'm Maya my goal
here is to just try to educate and bring some insight into what modern dentistry can do for you and
Obviously if you have questions or concerns or things that maybe came up throughout the video, please post them below
Otherwise give it a like thumbs up. Smash that thumbs up if you can with your phone and
Subscribe to the channel, I'll be uploading about every week to try to come up with new topics and ideas that might be
Beneficial for people to learn about dentistry so otherwise you have a good one we'll see you next time. What's up guys
This is dr. O and I'm excited to talk to you tonight of not tonight. That's awesome. See ya
I'm not going to be able to get this right with you here
I can just tell you that right now. Nah you just tuning me out like it rest the time, huh?
That's true you get tired of me talking yet
You ain't tired of me talking about
You tired of me talking
Are you tired of me talking?
Yeah, bitch ready to go home hang out there kids
Yes
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